Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wyoming for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wyoming only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wyoming (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Wyoming Medical Center Inc (NPI 1346332954)

Field	Value
Entity Type	Organization
Organization	Wyoming Medical Center Inc
Address	1233 E 2nd St
City	Casper
State	WY
ZIP	82601
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 29, 2006

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Key Findings

WYOMING MEDICAL CENTER INC has no Medicare billing on file and is effectively a single-payer (Medicaid) facility in the available claims data, with Total Medicaid revenue of $4.4M and no recorded Medicare revenue. This payer concentration suggests the profile and competitive analysis should focus on Medicaid-covered emergency and transport services rather than Medicare-driven inpatient or outpatient volumes.

Revenue concentration is high: the top 3 Medicaid codes by revenue account for 75.2% of the provider’s total Medicaid revenue. This indicates a narrow set of service lines—primarily emergency department visits and ambulance transports—drive the majority of the facility’s Medicaid receipts, increasing operational sensitivity to changes in those service lines or payer policies.

Service-line implications from the top codes show the hospital functions substantially as an emergency-care hub. Emergency department evaluation-and-management codes 99284 ($1.8M, 41.9% of Medicaid revenue) and 99283 ($983.3K, 22.5%) together dominate revenue, indicating a high-volume ED handling moderate- and low-acuity presentations. The presence of multiple ambulance codes (A0429, A0427, A0425, A0428) among the top billers further supports that the facility receives substantial arrived-by-EMS patient volume and likely serves as a regional emergency access point.

Competitive standing within Wyoming is strong for several high-volume codes. The provider ranks #2 in the state for 99284 (96th percentile) and #3 for 99283 (94th percentile), showing materially above-typical state volume for these ED codes. For ambulance-related components, the provider ranks #1 for A0429 and A0425 (100th percentile), indicating it is the leading biller in the state for basic life-support emergency transports and ground mileage among Medicaid providers.

Several ambulance and emergency codes are flagged as statistical outliers in-state: A0429, A0425, and 85027 are all described as notably above typical state volume (100th percentile). These labels imply that, relative to in-state peers, WYOMING MEDICAL CENTER is an unusually large provider of EMS-originating care and associated laboratory throughput, which has direct operational implications for staffing, ED capacity, and ambulance coordination.

Laboratory and procedure mix beyond ED and EMS is modest but present. Codes such as 96374 (IV push medication administration), 87635 and 87631 (SARS–CoV–2 testing and multiplex respiratory PCRs), and chest radiography codes (71045/71046) appear in the top 25 but represent small shares of total Medicaid revenue. Their inclusion indicates routine ED diagnostic and therapeutic activity rather than a broad outpatient procedural or specialty-service footprint.

The provider’s tenure is long-established: NPI enumerated on 2006-09-29 (~20 years ago). This extended presence supports the likelihood that the hospital is a stable regional institution and that the high ED and ambulance volumes reflect entrenched referral and transport patterns rather than a recent operational shift.

Although Medicaid payments are concentrated in a few high-volume codes, several of those codes have typical or unremarkable state percentiles (for example, 99285 at the 71st percentile and A0427 at the 83th percentile). This suggests that while some service lines are dominant and outlier-level, others align with standard state-level patterns and may not present unique competitive advantages or vulnerabilities.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

64 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	12,300	$150	$1.8M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	9,370	$110	$983.3K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	6,350	$80	$476.1K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	4,710	$80	$372.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	3,170	$70	$224.7K
A0425	Ground mileage, per statute mile	13,530	$10	$148.8K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	820	$140	$114.5K
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	1,820	$40	$72.8K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,480	$30	$41.4K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	950	$40	$34.2K

Showing 1–10 of 64

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Wyoming providers billing the same CPT/HCPCS codes.

Claims Volume vs. Wyoming Distribution

Wyoming Medical Center Inc — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

64 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	2	30	1,430	$110	$429.5K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	5	20	240	$110	$395K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	3	30	610	$90	$246.9K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	3	10	700	$90	$188.5K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	1	10	610	$90	$131.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	2	10	320	$60	$84.7K
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	2	10	1,050	$50	$52K
A0425	Ground mileage, per statute mile	1	20	540	$20	$45.7K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	2	10	110	$90	$37.3K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	5	10	120	$70	$32.4K

Showing 1–10 of 64

Related Providers

Other providers that share a Tax Identification Number (TIN) with Wyoming Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Debra Griner	WY	Family Nurse Practitioner	$622.8K	$0
Michel Skaf	WY	Cardiovascular Disease Physician	$616.1K	$0
Oleg Ivanov	WY	Cardiovascular Disease Physician	$412.2K	$0
Allan Wicks	WY	Cardiovascular Disease Physician	$370.6K	$0
John Pickrell	WY	Cardiovascular Disease Physician	$309.4K	$0
Robert Novick	WY	Cardiovascular Disease Physician	$114.9K	$0
Michael Eisenhauer	MT	Interventional Cardiology Physician	$75.9K	$0
Ronald Iverson	WY	Emergency Medicine Physician	$65.6K	$0
Vivian Kim	WI	Anesthesiology Physician	$27K	$0
Daniel Knox	WY	Critical Care Medicine (Internal Medicine) Physician	$18.9K	$0

Nearby Providers

Other providers in the same ZIP code as Wyoming Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M
Cedar Ridge Child And Family Counseling	WY	Clinical Psychologist	$0	$2.4M

Wyoming Medical Center Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References